# MAXX HEALTH, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780971366
- **Authorized official:** DR. CARLOS GONZALEZ JR. M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (561) 613-4500

## Contact information

- **Practice address:** 2500 N MILITARY TRL, SUITE \#310, BOCA RATON, FL 33431-6344
- **Practice address phone:** (561) 613-4500
- **Practice address fax:** (561) 613-4501
- **Mailing address:** 2500 N MILITARY TRL, SUITE \#310, BOCA RATON, FL 33431-6344
- **Mailing address phone:** (561) 613-4500
- **Mailing address fax:** (561) 613-4501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME87200 | FL | Yes |

## Other

- **Enumeration date:** 07/05/2011
- **Last updated:** 05/14/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | FW316A | MEDICARE PTAN | FL |
